Compositions which inhibit apoptosis, methods of purifying the compositions and uses thereof

ABSTRACT

The present invention is to methods of obtaining plant-derived compositions that inhibit apoptosis, the compositions obtained thereby, compositions comprising the composition, and methods of use thereof.

This application is a divisional of application Ser. No. 08/320,155 filed Oct. 7, 1994, which is a continuation-in-part of U.S. patent application Ser. No. 08/158,980, filed Nov. 30, 1993, now abandoned, and incorporated herein by reference.

FIELD OF THE INVENTION

This invention relates to compositions of matter which are effective in inhibiting apoptotic cell death.

BACKGROUND OF THE INVENTION

Apoptosis is a normal physiologic process that leads to individual cell death. This process of programmed cell death is involved in a variety of normal and pathogenic biological events and can be induced by a number of unrelated stimuli. Changes in the biological regulation of apoptosis also occur during aging and are responsible for many of the conditions and diseases related to aging. Recent studies of apoptosis have implied that a common metabolic pathway leading to cell death may be initiated by a wide variety of signals, including hormones, serum growth factor deprivation, chemotherapeutic agents, ionizing radiation, and infection by human immunodeficiency virus (HIV). Wyllie (1980) Nature 284: 555-556; Kanter et al. (1984) Biochem. Biophys. Res. Commun. 118: 392-399; Duke and Cohen (1986) Lymphokine Res. 5: 289-299; Tomei et al. (1988) Biochem. Biophys. Res. Commun. 155: 324-331; and Kruman et al. (1991) J. Cell. Physiol. 148: 267-273; Ameisen and Capron (1991) Immunol. Today 12: 102-105; and Sheppard and Ascher (1992) J. AIDS 5: 143-147. Agents that affect the biological control of apoptosis thus have therapeutic utility in numerous clinical indications.

Apoptotic cell death is characterized by cellular shrinkage, chromatin condensation, cytoplasmic blebbing, increased membrane permeability and interchromosomal DNA cleavage. Gerschenson et al. (1992) FASEB J. 6: 2450-2455; and Cohen and Duke (1992) Ann. Rev. Immunol. 10: 267-293.

All references cited herein both supra and infra are hereby incorporated herein by reference.

A variety of food supplements containing, in part, partially processed plant extracts have been used to ameliorate the gastrointestinal disorders that often accompany chemotherapy, radiation and AIDS. The supplements generally contain carbohydrates, fat and plant protein hydrolysates. See, e.g., Tomei and Cope et al. in Apoptosis The Molecular Basis of Cell Death (1991) Cold Spring Harbor Laboratory Press.

Several proteinase inhibitors derived from plant extracts have anticarcinogenic activity. Troll et al. (1987) Adv. Cancer Res. 49: 265-283. The Bowman-Birk inhibitors are the best described of these inhibitors. Birk (1985) Int. J. Pep. Pro. Res. 25: 113-131. Bowman-Birk inhibitors are described as a family of disulfide bonded proteins with a molecular weight of about 8 kD which suppress cellular transformation. Chou et al. (1974) Proc. Natl. Acad. Sci. USA 71: 1748-1752; Yavelow et al. (1985) Proc. Natl. Acad. Sci. USA 82: 5395-5399; and Yavelow et al. (1983) Cancer Res. (Suppl.) 43: 2454s-2459s. Crude soybean extracts containing Bowman-Birk inhibitors have been described. Kennedy et al. U.S. Pat. No. 4,793,996. Bowman-Birk inhibitors have also been described immunologically. WO 90/03574; and U.S. Pat. Nos. 4,959,310; and 5,053,327. Bowman-Birk inhibitors have also been found to have activity in degranulation of macrophages. Japanese Patent No. 63-51335.

SUMMARY OF THE INVENTION

The present invention encompasses methods of obtaining compositions that inhibit apoptosis and the compositions obtained thereby. The compositions are termed phytogenic apoptosis inhibitors (PAIs). The invention encompasses physiologically acceptable compositions suitable for administering the PAIs in an amount sufficient to modulate apoptosis. The invention further encompasses methods of use of the PAIs.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 presents the anti-apoptotic effect of soy PAIs on confluent C3H 10T1/2 cells.

FIG. 2 presents the concentration-dependent anti-apoptotic effect of soy PAIs on C3H 10T1/2 cells in exponential growth phase.

FIG. 3 presents a comparison of the anti-apoptotic activity of soy PAIs purified by 50% ethanol extraction and PAIs further purified by size exclusion gel filtration chromatography on C3H 10T1/2 cells. The data are presented as a function of trypsin inhibitory activity.

FIG. 4 presents the anti-apoptotic activity of various concentrations of soy PAIs on quiescent C3H 10T1/2 cells treated with cycloheximide to induce apoptosis.

FIG. 5 presents a chromatogram of monosaccharides present in PAI.

FIG. 6 depicts the effects of L/G on hypoxia-reperfusion of rat cardiac myocytes.

FIG. 7 is a graph depicting the effect of soy flour extracts on food intake after methotrexate treated rats.

FIG. 8 is a graph depicting the effect of soy flour extracts on methotrexate treated rats.

FIG. 9 is a graph depicting the effect of soy AcE on methotrexate treated rats.

FIG. 10 is a graph depicting the effect of soy flour extracts on methotrexate treated rats.

FIG. 11 is a bar graph depicting the incidence of rats presenting with diarrhea after treatment with methotrexate and various diets.

FIG. 12 is a bar graph summarizing the incidence of diarrhea and weight gain in rats treated with methotrexate and various diets.

FIG. 13 is a photograph depicting DNA laddering as a measure of apoptosis in lymphocytes obtained from an HIV-infected individual.

MODES OF CARRYING OUT THE INVENTION

It has now been found that a variety of plant constituents contain components which., when at least partially purified, exhibit the ability to inhibit apoptosis. This composition is readily separable from Bowman-Birk inhibitors and is distinct from other, known, therapeutically effective plant products. The composition may vary slightly in chemical constituents depending on the plant source from which it is derived. The composition is referred to herein as "PAIs" as the invention encompasses related compositions made by the methods described herein but obtained from different plant sources. The composition may also be prepared synthetically by methods known in the lipid synthesis art.

PAI can be isolated from a variety of different plants and plant organs. Preferably the plants are in the leguminosae (beans and peas etc.) family, but PAIs can be isolated from other plants such as those in the solanum (such as potatoes) and allium (such as garlic) families. PAIs can also be isolated from partially purified plant extracts including, but not limited to, molasses, lecithin, partially purified protein concentrates and partially purified protein hydrolysates. It is within the skill of one in the art, utilizing the methods described herein, to determine whether PAIs can be isolated from a particular species of plant, plant extract or organ within a plant.

Any plant extract or part thereof that yields the compositions is suitable for use in the present invention. The plant organs which can be utilized include, but are not limited to, stems, leaves, roots, flowers, rhizomes, and preferably, storage organs such as seeds, tubers and bulbs. Preferably, the plant part utilized is a storage organ including, but not limited to, potatoes, and garlic. Most preferably the dried seeds of legumes including, but not limited to, soybeans and peas are used for ease of processing. Although the terms "seed" and "seeds" are used herein, it should be understood that these terms encompass any plant part which yields at least one therapeutically active PAI, or PAI that is active in cell culture.

The invention encompasses methods for substantially purifying PAIs. Various degrees of purity can be achieved. The seeds are ground or pulverized, preferably into a powder or flour. As used herein, the term powder refers to a ground dried plant part. The powder particles should be sufficiently small enough to allow substantial surface area exposure to the various liquids to which they are exposed. Any method of grinding or pulverizing is suitable for use herein, typically grinding of seeds is accomplished by a commercial mill. PAIs are unusually heat stable, thus grinding can be done at temperatures that denature many proteins. Seed flours which are purchased commercially can also be used. For instance, soybean flour and various yellow and green pea flours have been found to contain active PAIs.

The seed powder is then delipidated by any method known in the art. Delipidation is generally accomplished by extracting the powder with a solution containing an organic solvent. Suitable organic solvents include, but are not limited to, acetone, carbon tetrachloride, ether, hexane and chloroform. Typically, the concentration of organic solvent in the solution is from 50-100%. Preferably, the organic solvent is acetone. The concentration of organic solution used may vary with respect to the particular solvent and the seed type; determination of the effective concentration is within the skill of one in the art. Preferably, in the case of acetone, the concentration is about 70%. Multiple organic extractions may also be carried out. Ratios of organic solution to powder (volume/weight) may also vary. Although not limited to the following range, typically the ratios are from about 2:1 to about 1:20 (weight powder/volume organic solution) are employed. In the case of acetone, a ratio of 1:5 is preferred.

Due to the stability of PAIs, the temperature and atmospheric pressure under which delipidation takes place are largely restricted only by the respective freezing and boiling points of the organic solutions employed. Typically, for ease of use, the delipidation takes place at room temperature and atmospheric pressure. The extraction time is likewise not stringent and depends largely upon the ratio of powder to organic solution. In the case of 70% acetone extraction with a ratio of 1:5, delipidation typically takes place for 30 minutes, with constant stirring.

The organic solution is then separated from the powder by any method known in the art. Preferably, the powder is removed by centrifugation and removal of the organic phase. Any suitable form of separation can also be employed including, but not limited to, filtration or separation by gravity. The PAIs remain in the extracted powder.

The delipidated powder is then extracted with an aqueous solution to yield an aqueous retentate containing the PAIs. The aqueous solution can be a buffered solution such as phosphate buffered saline (PBS) and may also contain up to about 80% water miscible organic solvents. Suitable water miscible organic solvents include, but are not limited to, acetonitrile, lower alkanols, especially C₁ -C₄ alkanols such as ethanol, methanol and propanol, lower alkanediols, especially C₂ -C₄ alkanediols such as ethyleneglycol, and polymers of lower alkanediols, especially polyethyleneglycol. Preferably ethanol is used, most preferably at 50% concentration.

The ratio of aqueous solution to powder can also be varied. The extraction ratio may be from about 1:1 to at least about 1:20 (weight powder/volume aqueous solution). Generally, a 1:10 ratio of 50% ethanol is used. The extraction time varies also and depends on the volume of the aqueous solution and percentage of water miscible organic solvents used. In the case if a 1:10 volume of 50% ethanol, extraction proceeds for 1 hour with constant mixing or stirring (or agitation).

The pH range of the aqueous solution has been found to be largely irrelevant, ranges between 2.5 and 11 have been tested; it is thus likely that an even broader range may be effective. Typically, for ease of use, the pH range is 7-8.

The temperature and atmospheric conditions of the aqueous extraction can vary widely and depend largely on the freezing and boiling points of the aqueous solution. Typically, the extractions are carried out at room temperature and atmospheric pressure. Once the aqueous extraction has taken place, the aqueous retentate is removed for further processing. Any method of removal known in the art is suitable including but not limited to centrifugation and filtration.

The aqueous retentate is then further purified to yield the PAI. Any water-miscible organic solvent is removed by any method known in the art including but not limited to ultrafiltration, drying and dialysis. Ultrafiltration can be performed using a 10 kD molecular weight cut off to remove low molecular weight proteins such as monomers of the Bowman-Birk inhibitors and organic solvents. Likewise the molecular weight cut off of the dialysis tubing can be 10 kD.

Residual organic solvent can be removed by diafiltration after ultrafiltration or by multiple changes of the dialysate, for instance, by pure water. The aqueous retentate can be stored for up to several days in solution and indefinitely as a lyophilized solid. Preferably, the aqueous retentate is lyophilized. Both the aqueous retentate and lyophilized retentate may be subject to further processing steps; the lyophilized retentate being resuspended in an appropriate aqueous solution prior to further processing.

Material obtained may be further separated by passage through any molecular weight size exclusion chromatography including, but not limited to, Sepharose S100HR (Pharmacia Biotechnology Piscataway, N.J. USA) or BioGel P-100 (BioRad Laboratories Inc, Hercules, Calif. USA) in an aqueous buffer. Suitable buffers include, but are not limited to, 0.1 to 0.3M ammonium bicarbonate or 0.1 to 0.3M NaCl in 10 to 50 mM phosphate at neutral pH.

The PAIs obtained from size exclusion chromatography are found in the void volume and have an apparent molecular weight of greater than 80 kD. The material found in this fraction may be resolved by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) under reducing conditions and contains several proteins. Staining with Coomassie Blue indicates the presence of 6-8 proteins of a molecular weight range from 18 to 68 kD. Analysis by thin layer chromatography demonstrates the presence of several lipid-type compounds.

The fractions eluted from the chromatography with the greatest absorbance at 280 nm are coincident with the fractions containing the greatest biological activity. The biological activity separates from low molecular weight material and elutes in the void volume at a position that is consistent with that of a molecular weight of greater than 80 kD or an aggregate. This material may be concentrated, dialyzed, lyophilized and stored indefinitely in a lyophilized form.

Solubilized PAIs can be precipitated with acetone at a concentration of 70% or more. However, treatment with various agents, including strong acids, destroy their activity. For instance, trifluoroacetic acid, hydrochloric acid, trichloroacetic acid and phenol destroy their activity. However, pH levels as low as 2.5 do not destroy activity, as 1% acetic acid does not affect the activity of PAIs.

The PAIs can be further isolated by extracting a freeze dried high molecular weight fraction obtained from defatted and ethanol extracted seed flour into a single phase mixture of chloroform:methanol:water (4:8:3). This is most conveniently done by dissolving the dried material in the water fraction, then adding methanol followed by chloroform, mixing and removing the precipitate. This extraction yields a glycolipid/lipid/phospholipid fraction which retains PAI activity.

For example, 0.1 gEQ (the amount derived from 0.1 g of starting material) of the high molecular weight fraction (FAcE) was dissolved in 7.5 ml of water and with constant mixing, 20 ml of methanol was added followed by 10 ml of chloroform. The insoluble material was removed by centrifugation (8,000×g×10 min) and the PAI reclaimed from the solution by rotary evaporation to remove the organic solvents and freeze-drying to remove the water. The fraction obtained has been termed the L/G fraction. The carbohydrate composition of the L/G fraction consists of arabinose and galactose in a 3:2 ratio with fucose, rhamnose, glucosamine, glucose and mannose all present as minor constituents.

The L/G fraction can be further separated on the basis of its solubility in a mixture of chloroform:methanol and resolved by silica chromatography either in a chromatography column or by two-dimensional thin-layer chromatography (TLC) plate format.

Typically, soy flour, or fractions thereof, is extracted by suspending in water (20% weight per volume in the case of flour) and adding two volumes of methanol and one volume of chloroform. This is a single phase and is stirred/mixed at room temperature for thirty minutes to one hour. To this mixture is added one volume of chloroform, mixed, and one volume of water. This forms two phases and the phases are separated by centrifugation or a separating funnel after first removing any solids (if flour has been used as the starting material). The activity is in the organic (bottom) phase.

The material is then subjected to a preliminary chromatography step on silicic acid, i.e., a Mallinckrodt SiO₂.xH₂ O 100 mesh powder. The active material is loaded in chloroform and washed with chloroform or a chloroform:methanol mixture of 90:10 or 80:20 and eluted with methanol or CHCl₃ :MeOH (10:90 or 20:80).

The active material can be further separated by HPLC chromatography on a silica column such as Dynamax 60A Si column from Rainin Instrument Co., Inc. The gradient used to elute the active material is from 95:3:2 0.05 acetonitrile:methanol:water: ammonia hydroxide to 65:21:14 0.35 acetonitrile:methanol:water:ammonia hydroxide. The elution profile is monitored at 205 nm.

The active fractions obtained may be further separated on the basis of their hydrophobicity, for instance by HPLC on a C18 column (Dynamax 60A, Rainin Instrument Co. Inc.) in methanol. The material is eluted isocratically in 90:10 methanol:5 mM NaPO₄ pH 7.4.

A variety of methods are known in the art for purifying and analyzing lipids. Any method known in the art may be used in the practice of the present invention provided it results in purification of an active fraction. For review, see Bligh and Dyer (1959) Can. J. Biochem. Physiol. 37: 911-917; Patton et al. (1982) J. Lipid Res. 23: 190-196; Jungalwala (1985) Recent Developments in Techniques for Phospholipid Analysis, in Phospholipids in Nervous Tissues (ed. Eichberg) John Wiley and Sons, pp. 1-44; Hamilton et al. (1992) in the series, A Practical Approach (Richwood et al. eds.) IRL Press at Oxford University Press; and Kates (1986) Techniques of Lipidology: Isolation, Analysis and Identification in Laboratory Techniques in Biochemistry and Molecular Biology (Burdon et al. eds.) Elsevier.

The in vitro apoptosis inhibitory activity of the PAIs appears to be largely limited to actively proliferating cells; quiescent cells appear to be relatively unaffected.

The active component of the PAIs is highly stable in the presence of proteases. For instance, the PAIs have been treated with trypsin, chymotrypsin, papain, elastase, subtilisin, and proteinase K under conditions suitable for proteolysis but the proteases have no effect on their activity. The high molecular weight form of the PAIs are thus proteinase-resistant.

Carbohydrate analysis can be performed, using the reagents of the Oxford GlycoSystems N-Glycan Recovery Kit as described by the manufacturers instructions, or similar protocol. The N-Glycan Recovery Kit is based on the use of anhydrous hydrazine to cleave N-Glycosidic bonds as reported by Takasaki et al. (1982) Meth. Enzymol. 83: 263-268. In order to analyze the active constituent(s) of PAIs, the partially purified PAIs are treated in accordance with the manufacturer's instructions in the following manner: 1) lyophilized to remove all traces of water; 2) treated with anhydrous hydrazine at 95° C. for 5 hours to cleave N-glycosidic bonds; 3) subjected to chromatography to remove unreacted hydrazine and peptide material; 4) treated with acetic anhydride to re-N-acetylate any de-N-acetylated amino groups; 5) a trace of Cu²⁺ ion is added to the sample to convert the acetohydrazone derivatives of the sample to unreduced oligosaccharides; 6) subjected to mixed-bed ion-exchange chromatography to remove Cu²⁺ ion and monoacetyl hydrazine; and 7) active constituent(s) of PAI are recovered in a dilute solution of acetic acid from a sample which presumably contains unreduced N-glycans, substantially free of peptide material.

One or more active components of PAIs can be co-purified with the N-Glycans of a PAI sample, when processed and isolated by an Oxford GlycoSystems N-Glycan Recovery Kit or similar method. When partially purified samples of PAI are processed and purified using Oxford GlycoSystems Kits for N-glycan recovery, O-glycan recovery, and deglycosylation of proteins, only samples processed and purified using the N-Glycan Recovery Kit retain anti-apoptotic activity as shown in Example 6. Further, either the active component(s) of PAI all reside in the N-Glycan purified fraction or the activity of other active components is destroyed by the processing and purification conditions of the Oxford GlycoSystems Glycofree™ Deglycosylation Kit and O-Glycan Recovery Kit.

The invention further comprises therapeutic compositions comprising substantially purified PAIs. The level of purity necessary for the composition can be determined empirically and is within the skill of one in the art. The compositions are suitable for use in a variety of disorders, as described below, and in both human and veterinary applications.

The activity of the PAIs, as well as active fractions thereof obtained during the purification method can be measured in any anti-apoptosis assay known in the art. These include, but are not limited to, the serum deprivation of the C3H 10T1/2 cell assay described in detail in commonly owned PCT/US 94/04942 claiming priority to Apr. 30, 1993 which is the preferred assay method, as well as the methods described in Examples 3 and 4. Furthermore, in vivo apoptosis inhibition may be measured by any method known in the art.

In general, PAIs are pharmaceutically acceptable due to their low toxicity in the therapeutic dosage range, stability and ability to be incorporated into a wide variety of vehicles for numerous routes of administration. The PAIs can be administered alone or in combination with other pharmaceutically effective agents including, but not limited to, antibiotics, wound healing agents, antioxidants and other therapeutic agents. Suitable antibiotics include, but are not limited to, ampicillin, tetracycline, chloramphenicol and penicillin. Suitable wound healing agents include, but are not limited to, transforming growth factors (TGF-βs), epidermal growth factors (EGFs), fibroblast growth factors (FGFs) and platelet-derived growth factors (PDGFs). Suitable antioxidants include, but are not limited to, vitamins C and E.

The compositions contain at least a therapeutically effective amount of at least one PAI and a physiologically acceptable carrier. A physiologically acceptable carrier is one that does not cause an adverse physical reaction upon administration and one in which PAIs are sufficiently soluble to deliver a therapeutically effective amount of the compound. The therapeutically effective amount depends in part upon the manner of introduction and the indication to be treated and other criteria evident to ordinary skill of one in the art. Typically, a therapeutically effective amount is one sufficient to modulate apoptosis in the condition being treated as evidenced by amelioration of the symptoms. Typically, a therapeutically effective amount is from about 0.5-100% by weight of at least one PAI. The route(s) of administration useful in a particular indication are discussed below and are well known to one of skill in the art.

Routes of administration include, but are not limited to, topical, transdermal, parenteral, gastrointestinal, transbronchial and transalveolar. Topical administration is accomplished via a topically applied cream, gel, rinse, etc. containing therapeutically effective amounts of PAIs. Transdermal administration is accomplished by application of a cream, rinse, gel, etc. capable of allowing the PAIs to penetrate the skin and enter the blood stream. Parenteral routes of administration include, but are not limited to, direct injection such as intravenous, intramuscular, intraperitoneal or subcutaneous injection. Gastrointestinal routes of administration include, but are not limited to, ingestion and rectal. Transbronchial and transalveolar routes of administration include, but are not limited to, inhalation, either via the mouth or intranasally and direct injection into an airway, such as through a tracheotomy.

While the PAIs can be topically administered alone, it may be desirable to administer them in admixture with a topical pharmaceutically or cosmetically acceptable carrier.

"Topical pharmaceutically acceptable carrier" as used herein is any substantially non-toxic carrier conventionally usable for topical administration of pharmaceuticals in which the PAIs will remain stable and bioavailable when applied directly to skin or mucosal surfaces. For example, the PAIs can be dissolved in a liquid, dispersed or emulsified in a medium in a conventional manner to form a liquid preparation or mixed with a semi-solid (gel) or solid carrier to form a paste, powder, ointment, cream, lotion or the like.

Suitable topical pharmaceutically acceptable carriers include water, petroleum jelly (vaseline), petrolatum, mineral oil, vegetable oil, animal oil, organic and inorganic waxes, such as microcrystalline, paraffin and ozocerite wax, natural polymers, such as xanthanes, gelatin, cellulose, collagen, starch, or gum arabic, synthetic polymers, such as discussed below, alcohols, polyols, and the like. The carrier may be a water miscible carrier composition that is substantially miscible in water. Such water miscible topical pharmaceutically acceptable carrier composition can include those made with one or more appropriate ingredients set forth above but can also include sustained or delayed release carriers, including water containing, water dispersible or water soluble compositions, such as liposomes, microsponges, microspheres or microcapsules, aqueous base ointments, water-in-oil or oil-in-water emulsions, gels or the like.

In one embodiment of the invention, the topical pharmaceutically acceptable carrier comprises a sustained release or delayed release carrier. The carrier is any material capable of sustained or delayed release of the PAIs to provide a more efficient administration resulting in one or more of less frequent and/or decreased dosage of the PAIs, ease of handling, and extended or delayed effects on dermatologic conditions. The carrier is capable of releasing the PAIs when exposed to any oily, fatty, waxy, or moist environment on the area being treated or by diffusing or by release dependent on the degree of loading of the PAIs to the carrier in order to obtain release of the PAIs. Non-limiting examples of such carriers include liposomes, microsponges, microspheres, or microcapsules of natural and synthetic polymers and the like. Examples of suitable carriers for sustained or delayed release in a moist environment include gelatin, gum arabic, xanthane polymers; by degree of loading include lignin polymers and the like; by oily, fatty or waxy environment include thermoplastic or flexible thermoset resin or elastomer including thermoplastic resins such as polyvinyl halides, polyvinyl esters, polyvinylidene halides and halogenated polyolefins, elastomers such as brasiliensis, polydienes, and halogenated natural and synthetic rubbers, and flexible thermoset resins such as polyurethanes, epoxy resins and the like. Preferably, the sustained or delayed release carrier is a liposome, microsponge, microsphere or gel.

The compositions used in the method of treating dermatologic conditions of the invention are applied directly to the areas to be treated. While not required, it is desirable that the topical composition maintain the PAIs at the desired location for about 24 to 48 hours.

If desired, one or more additional ingredients conventionally found in topical pharmaceutical or cosmetic compositions can be included with the carrier: such as a moisturizer, humectants, odor modifier, buffer, pigment, preservative, vitamins such as A, C and E, emulsifier, dispersing agent, wetting agent, odor-modifying agent, gelling agents, stabilizer, propellant, antimicrobial agents, sunscreen, enzymes and the like. Those of skill in the art of topical pharmaceutical formulations can readily select the appropriate specific additional ingredients and amounts thereof. Suitable non-limiting examples of additional ingredients include superoxide dismutase, stearyl alcohol, isopropyl myristate, sorbitan monooleate, polyoxyethylene stearate, propylene glycol, water, alkali or alkaline earth lauryl sulfate, methylparaben, octyl dimethyl-p-amino benzoic acid (Padimate O), uric acid, reticulin, polymucosaccharides, hyaluronic acids, aloe vera, lecithin, polyoxyethylene sorbitan monooleate, vitamin A or C, tocopherol (vitamin E), alpha-hydroxy of alpha-keto acids such as pyruvic, lactic or glycolic acids, or any of the topical ingredients disclosed in U.S. Pat. Nos. 4,340,586, 4,695,590, 4,959,353 or 5,130,298 and 5,140,043.

Because dermatologic conditions to be treated may be visible, the topical carrier can also be a topical cosmetically acceptable carrier. By "topical cosmetically acceptable carrier" as used herein is meant any substantially non-toxic carrier conventionally usable for topical administration of cosmetics in which the PAIs will remain stable and bioavailable when applied directly to the skin surface. Suitable cosmetically acceptable carriers are known to those of skill in the art and include, but are not limited to, cosmetically acceptable liquids, creams, oils, lotions, ointments, gels, or solids, such as conventional cosmetic night creams, foundation creams, suntan lotions, sunscreens, hand lotions, make-up and make-up bases, masks and the like. Thus, to a substantial extent topical cosmetically acceptable carriers and pharmaceutically acceptable carriers are similar, if not often identical, in nature so that most of the earlier discussion on pharmaceutically acceptable carriers also applies to cosmetically acceptable carriers. The compositions can contain other ingredients conventional in cosmetics including perfumes, estrogen, vitamins A, C or E, alpha-hydroxy or alpha-keto acids such as pyruvic, lactic or glycolic acids, lanolin, vaseline, aloe vera, methyl or propyl paraben, pigments and the like.

The effective amount of the PAIs in the compositions used to treat dermatologic conditions or diseases can vary depending on such factors as condition of the skin, age of the skin, the particular PAI or degree of the purity of the PAIs employed, the type of formulation and carrier ingredients used, frequency of administration, overall health of the individual being treated and the like. The precise amount for any particular patient use can be determined by those of skill in the pharmaceutical art taking into consideration these factors and the present disclosure. Preferably the composition is administered in at least two doses and no more than about six doses per day, or less when a sustained or delayed release form is used.

The compositions for topical administration usually contain from about 0.0001% to about 90% by weight of the PAIs compared to the total weight of the composition, preferably from about 0.5% to about 20% by weight of the PAIs to composition, and especially from about 2% to about 5% by weight of the PAIs to the composition.

The topical composition is administered by applying a coating or layer to the skin or mucosal area desired to be treated. As a practical matter of convenience, the applied material is rubbed into the area. Applications need not be rubbed into the skin and the layer or coating can be left on the skin overnight.

The present invention provides compositions suitable for transdermal administration including, but not limited to, pharmaceutically acceptable lotions, suspensions, oils, creams, ointments, rinses, gels and liposomal carriers suspended in a suitable vehicle in which a therapeutically effective amount of PAIs has been admixed. Such compositions are applied directly to the skin or incorporated into a protective carrier such as a transdermal device (so-called "patch"). Examples of suitable creams, ointments etc. can be found, for instance, in the Physician's Desk Reference. Examples of suitable transdermal devices are described, for instance, in U.S. Pat. No. 4,818,540 (Chien et al.).

The present invention includes compositions of PAIs suitable for parenteral administration including, but not limited to, pharmaceutically acceptable sterile isotonic solutions. Such solutions include, but are not limited to, saline and phosphate buffered saline for intravenous, intramuscular, intraperitoneal or subcutaneous injection of PAIs.

The present invention includes compositions of PAIs suitable for gastrointestinal administration including, but not limited to, pharmaceutically acceptable powders, pills or liquids for ingestion and suppositories for rectal administration.

The present invention includes compositions of PAIs suitable for transbronchial and transalveolar administration including, but not limited to, various types of pharmaceutically acceptable aerosols for inhalation. An example of a drug administered in the form of an aerosol is pentamidine which is administered to AIDS patients by inhalation to prevent pneumonia caused by Pneumocystis carnii.

The present invention further contemplates devices suitable for transbronchial and transalveolar administration of PAIs. Such devices include, but are not limited to, atomizers and vaporizers. The present invention also includes devices for electrical or direct injection. Electrical injection, or iontophoresis, is the process of using a small electrical current to drive charged elements, compounds and drugs through the skin for the purpose of delivering the therapeutic compound to the local tissues or to the whole body without breaking the skin.

The above-mentioned compositions are meant to describe, but not limit, the methods of administering the PAIs of the invention. The methods of producing the various compositions are within the ability of one skilled in the art and are not described in detail here.

The methods of producing suitable devices for injection, topical application, atomizers and vaporizers are known in the art and will not be described in detail.

The invention further provides methods of treating apoptosis comprising administering an amount of the PAIs effective to inhibit apoptosis. Various apoptosis-related indications can be treated by the method including, but not limited to, dermatological effects of aging, disorders and diseases, immunosuppression, gastrointestinal perturbations, cardiovascular disorders, rejection of tissue transplantation, and Alzheimer's disease.

It has now been found that PAIs may be topically applied to the skin to treat a variety of dermatologic conditions. These conditions include, but are not limited to, wrinkling or sagging due to age and/or photodamage, psoriasis. The present invention thus encompasses methods of treating dermatological conditions. Furthermore, baldness may be caused by apoptosis of the cells of the hair follicles. Therefore, the PAIs would be suitable for use in topical treatment of the skin to prevent continued hair loss.

As discussed above, these conditions are preferably treated by topical application of a composition comprising an effective amount of PAIs. An effective amount of PAI is one which ameliorates or diminishes the symptoms of the dermatologic conditions. Preferably, the treatment results in resolution of the dermatologic condition or restoration of normal skin function; however, any amelioration or lessening of symptoms is encompassed by the invention.

Immunosuppression related disorders are caused by a variety of stimuli which include, but are not limited to, viruses including, but not limited to, HIV, chemotherapeutic agents, and radiation. These stimuli trigger apoptosis in a variety of disorders, including, but not limited to, those of the digestive tract tissues and associated gastrointestinal perturbations.

Gastrointestinal perturbations include, but are not limited to, damage to the lining of the gut, severe chronic ulcers, colitis, radiation induced damage, chemotherapy induced damage, and the perturbation of the gastrointestinal tract caused by parasites, and diarrhea from any other cause. Various viral and bacterial infections are known to result in gastrointestinal perturbations; the PAIs are also suitable for use in treatment of the side effects associated with these infections. PAIs are particularly suited for use in ameliorating the gastrointestinal disturbances associated with chemotherapy. As shown in the Examples presented below, mice treated with methotrexate and various PAIs suffered less feeding problems and had none of the diarrhea found in the control animals. Thus, PAIs are suitable for use not only in preventing the diarrhea associated with chemotherapy but also the nausea.

The PAIs are particularly suited to treatment of various gastrointestinal conditions in animals, particularly cattle. Such conditions, particularly diarrhea, account for the loss of many calves. Treatment of gastrointestinal conditions is preferably by gastrointestinal administration. In the case of cattle, an effective amount of the PAIs can be conveniently mixed in with the feed. In humans, administration can be by any method known in the art of gastrointestinal administration.

In addition, the PAIs can be administered to immunodeficient patients, particularly HIV-positive patients, to prevent or at least mitigate apoptotic death of T cells associated with the condition, which results in the exacerbation of immunodeficiencies as seen in patients with full blown AIDS. Preferably, administration of PAIs to such patients is parenterally, but may also be transdermal or gastrointestinally.

The PAIs can also be administered to treat apoptosis associated with reperfusion damage involved in a variety of conditions, including, but not limited to, coronary artery obstruction; cerebral infarction; spinal/head trauma and concomitant severe paralysis; reperfusion damage due to other insults such as frostbite; and any indication previously thought to be treatable by superoxide dismutase (SOD).

Myocardial and cerebral infarctions are caused generally by a sudden insufficiency of arterial or venous blood supply due to emboli, thrombi, or pressure that produces a macroscopic area of necrosis; the heart, brain, spleen, kidney, intestine, lung and testes are likely to be affected. Apoptosis occurs to tissue surrounding the infarct upon reperfusion of blood to the area; thus, PAIs are effective if administered at the onset of the infarct, during reperfusion, or shortly thereafter.

Thus, the invention includes methods of treating apoptosis associated with reperfusion comprising administering a therapeutically effective amount of at least one PAI to a patient in need of such therapy.

The invention further encompasses a method of reducing the apoptosis and reperfusion damage associated with myocardial and cerebral infarctions for patients with a high risk of heart attack and stroke by administering a therapeutically effective amount of at least one PAI to a patient in need of such therapy.

Preferably, treatment of reperfusion damage is by parenteral administration of the compositions of the invention. Any other suitable method may be used, however, for instance, direct cardiac injection in the case of myocardial infarct. Devices for such injection are known in the art, for instance the Aboject cardiac syringe.

The invention further provides methods of limiting and preventing apoptosis in cells during the culture or maintenance of mammalian organs, tissues, and cells by the addition of an effective amount of PAIs to any media or solutions used in the art of culturing or maintaining mammalian organs, tissues, and cells.

The invention further encompasses media and solutions known in the art of culturing and maintaining mammalian organs, tissues and cells, which comprise an amount of at least one PAI effective to limit or prevent apoptosis of the cells in culture.

These aspects of the invention encompass mammalian cell culture media comprising an effective amount of at least one PAI and the use of such media to limit or prevent apoptosis in mammalian cell culture. PAIs have been found to limit or prevent apoptosis under circumstances in which cells are subjected to mild traumas which would normally stimulate apoptosis. Such traumas may include, but are not limited to, low level irradiation, thawing of frozen cell stocks, rapid changes in the temperature, pH, osmolarity, or ion concentration of culture media, prolonged exposure to non-optimal temperature, pH, osmolarity, or ion concentration of the culture media, exposure to cytotoxins, disassociation of cells from an intact tissue in the preparation of primary cell cultures, serum deprivation (or growth in serum-free media).

Thus the invention encompasses compositions comprising tissue culture medium and an effective amount of at least one PAI. Serum-free media to which PAIs may be added as anti-apoptotic media supplements include, but are not limited to, AIM V® Media, Neuman and Tytell's Serumless Media, Trowell's T8 Media, Waymouth's MB 752/1 and 705/1 Media, and Williams' Media E. In addition to serum-free media, suitable mammalian cell culture media to which PAIs may be added as anti-apoptotic media supplements include, but are not limited to, Basal Eagle's Media, Fischer's Media, McCoy's Media, Media 199, RPMI Media 1630 and 1640, Media based on F-10 & F-12 Nutrient Mixtures, Leibovitz's L-15 Media, Glasgow Minimum Essential Media, and Dulbecco's Modified Eagle Media. Mammalian cell culture media to which PAIs may be added further comprise any media supplement known in the art, including but not limited to, sugars, vitamins, hormones, metalloproteins, antibiotics, antimycotics, growth factors, lipoproteins and sera.

The invention further encompasses solutions for maintaining mammalian organs prior to transplantation, which comprise an effective amount of at least one PAI, and the use of such solutions to limit or prevent apoptosis in such mammalian organs during their surgical removal and handling prior to transplantation. In all cases concentrations of PAIs required to limit or prevent apoptosis can be determined empirically by one skilled in the art by methods like those found in Examples 2, 3 and 4, as well as other methods known in the art.

It has also been found that the PAI fractions above a certain concentration can form micelles in solution. The invention thus includes compositions comprising micelles.

The following examples are provided to illustrate but not limit the invention.

EXAMPLE 1 PAI Isolation and Purification

Approximately 100 g of commercially available soybean flour (Sigma Chemical Co. St. Louis, Mo. USA and Central Soya, Archer Daniel Midlands) was suspended in 500 ml of 70% acetone and stirred at room temperature for 30 minutes. The delipidated soybean flour was recovered by centrifugation at 1,500 g for 10 minutes. This material was resuspended in 11 of 50% ethanol and stirred at room temperature for 30 minutes. The supernatant, the aqueous retentate, was reclaimed by centrifugation at 1,500 g for 10 minutes.

The aqueous retentate was concentrated by ultrafiltration and the ethanol was removed by diafiltration over a 10 kD membrane (Amicon Beverly, Mass. USA). This material was then loaded directly onto Sepharose S100HR (Pharmacia Biotechnology, Inc. Piscataway, N.J., USA) equilibrated in 10 mM ammonium bicarbonate. The peak of A₂₈₀ absorbing material eluted in the void volume and was pooled and lyophilized.

The freeze-dried high molecular weight material was extracted into a single phase mixture of chloroform:methanol:water (3:8:4) by adding the single phase mixture to the dried material and mixing at room temperature for 30 minutes. The mixture was then centrifuged to remove the insoluble material. The insoluble material yielded a lipid/glycolipid fraction which retained PAI activity. This fraction has been termed the L/G fraction. The carbohydrate composition of the L/G fraction consists of arabinose and galactose in a 3:2 ratio with fucose, rhamnose, glucosamine, glucose and mannose all present as minor constituents. The carbohydrate composition was determined as described in Example 5.

The L/G fraction can be further separated on the basis of its solubility in a mixture of chloroform:methanol (80:20) and chromatography on silica (Silicic Acid 100 mesh, Mallinckrodt Chemical, Inc. Ky.). The silica chromatography is resolved in methanol to yield an active fraction (SiMe).

For a detailed summary of the physical and chemical characteristics of the soy flour extract at various stages of purification see Table 1, where ND stands for "none detected".

In Table 1, the activities and physical characteristics of the products of four stages of purification were determined. These four stages were: aqueous retentate; 70% acetone extract; 50% ethanol extract of the 70% acetone pellet; and the high molecular weight fraction purified by size exclusion gel filtration chromatography from the 50% ethanol fraction. Protein yield is expressed as protein recovered per gram dry weight of starting material, as measured by the Bradford assay procedure (BioRad Laboratories). Anti-apoptotic activity is expressed as the calculated concentration of material (μg/ml of media) required to save 50% of the cells released on serum free treatment as described in Example 2. Trypsin inhibition is expressed in relative units per μg of protein in the sample. A relative unit (U) was defined as the amount of inhibitory activity which decreases by 50% the initial rate of hydrolysis of a 100 μM substrate by 2 μg of trypsin in a total volume of 1 ml. Absorbance values at 260 and 280 nm are expressed per gram of starting material in a 1 ml cell. This gives an indication of relative protein and nucleic acid concentrations present. The ratio of 260/280 was used to estimate the amount of nucleic acid present as described in Dawson et al., Data for Biochemical Research, Third Edition, 1986 published Oxford Science Publications.

                                      TABLE 1                                      __________________________________________________________________________     Physical Characterization of Soy PAI Extract                                   at Various Stages of Purification                                                             Anti-                                                                  Protein apoptotic                                                                            Trypsin         Nucleic                                          Concentration                                                                          Activity                                                                             Inhibition                                                                           A280 A260 Acid                                      __________________________________________________________________________     Soy Flour                                                                             196 mg/gm                                                                              Inhibitory                                                                           0.561 U/μg                                                                        116/gm                                                                              134/gm                                                                              2.4%                                      Water                                                                          Extract                                                                        Soy Flour                                                                             140 μg/gm                                                                           Inhibitory                                                                           ND    4.5/gm                                                                              7.2/gm                                                                              11%                                       70% Acetone                                                                    Extract                                                                        Soy Flour                                                                             310 μg/gm                                                                           11 μg/ml                                                                          177 U/μg                                                                          32/gm                                                                               36/gm                                                                               ND                                        Acetone                                                                        Pellet                                                                         50% Ethanol                                                                    Extract                                                                        (AcE)                                                                          Soy Flour                                                                             62 μg/gm                                                                            0.14 μg/ml                                                                        3.5 U/μg                                                                          10/gm                                                                               12/gm                                                                               ND                                        Acetone                                                                        Pellet                                                                         50% Ethanol                                                                    Gel Filtra-                                                                    tion Pool                                                                      (FAcE)                                                                         Soy Flour                                                                             20 μg/gm                                                                            45 ng/ml                                                                             ND    8.4/gm                                                                              9.1/gm                                                                              ND                                        Actone                                                                         Pellet                                                                         50% Ethanol                                                                    Gel Filtra-                                                                    tion Pool                                                                      Organic                                                                        Extract                                                                        (L/G)                                                                          Soy Flour                                                                             0.9 μg/gm                                                                           12 ng/ml                                                                             ND    6.55/gm                                                                             7.7/gm                                                                              ND                                        Acetone                                                                        Pellet                                                                         50% Ethanol                                                                    Gel Filtra-                                                                    tion Pool                                                                      Organic                                                                        Extract                                                                        Silicic acid                                                                   Methanol                                                                       Eluate                                                                         (SiMe)                                                                         __________________________________________________________________________

EXAMPLE 2 Apoptosis Assay with C3H 10T1/2 Cells

In order to determine the apoptotic activity of the PAIs, the following experiment was performed. The cell assay is described in PCT/US 94/04942. Briefly, the cells, C3H 10T1/2 clone 8, were assayed at confluence (FIG. 1), during exponential growth phase when cell cycle position is randomly distributed with no cells arrested in G_(o) (FIGS. 2 and 3), and in quiescence (FIG. 4). Exponential growth phase was assured by seeding at 2000 cells per 1 ml (5 ml for a 60 mm culture plate) five days prior to the beginning of the experiment. At T=0, cultures were transferred to serum-free medium, as an apoptosis stimulus, and seed extracts were added. Controls included 10⁻⁷ M 12-O-tetradecanoyl phorbol-13-acetate (TPA) to ensure the responsiveness of the cell culture. The PAI samples prepared by extraction with ethanol and by gel filtration were added to serum free medium at 0.1 g dry weight equivalents and sterile filtered prior to addition to the cultures. Assays were performed in triplicate or quadruplicate. Analyses of the cell responses were made after between 22 and 28 hours of serum deprivation and/or treatment with soy flour derived PAIs. Two assays were performed on each cell culture plate consisting of differential cell counts.

1. All non-adherent or loosely adherent cells were removed from the culture dish and counted by appropriate techniques, typically counting by electric particle counting instrument. These are the apoptotic cells, the serum deprived released cells (SDR), released by the action of cultivation in serum-free medium. Approximately 95% of these released cells are apoptotic as shown by both ultrastructure analysis and DNA fragmentation analysis.

2. The remaining adherent cells (ADH) are exposed to a buffered, typically pH 7.3, balanced salt solution such as Hanks Balanced Salt Solution without calcium and magnesium salts containing 0.05% trypsin and 0.53 mM ethylenediaminetetraacetic acid (EDTA). Each culture is incubated at either room temperature or 37° C. on a rocking platform to ensure uniform distribution of the trypsin reagent over the culture surface. After a standardized period of time, typically 10 minutes, the released cells are removed from each culture dish and measured by the same means as described above, typically electronic particle counting. This ADH cell count is comprised of both trypsin resistant and trypsin sensitive cells as described in PCT/US 94/04942.

The results obtained from the apoptosis cell assays are presented in FIGS. 1, 2, 3 and 4. In FIG. 1 the percentage of cells having undergone apoptosis (SDR) and adherent cells (ADH) are presented separately. The Data in FIG. 1 demonstrate that the PAIs are effective in reducing apoptosis in confluent cells, as compared with the Basal Medium Eagle (BME), serum-deprived control.

In FIG. 2, the results are presented as a percentage of adherent cells in the samples treated with PAIs normalized for the number of adherent cells in the serum free control sample without PAIs. In other words, the percentage of cells saved from apoptosis by treatment with PAIs. The data presented in FIG. 2 demonstrate that soy PAIs have a concentration-dependent anti-apoptotic effect on C3H 10T1/2 cells in exponential growth phase.

In FIG. 3, the anti-apoptotic activity for PAIs after extraction with 50% ethanol (right side) and PAIs which have been further purified by size exclusion gel filtration chromatography (left side) is presented. The results in FIG. 3 are expressed as the percentage of cells saved from apoptosis (SDR cells converted to ADH cells) by treatment with PAIs as compared with the no PAI serum free control samples, all of which is expressed as a function of trypsin inhibitory units. The data presented in FIG. 3 demonstrate that when the concentration of Bowman-Birk inhibitors (as measured by trypsin inhibition) is reduced by size exclusion gel filtration chromatography, the anti-apoptotic activity of PAIs is maintained. Thus, the anti-apoptotic activity of the PAI preparations is not due to the presence of Bowman-Birk inhibitors.

In FIG. 4, the anti-apoptotic activity of various concentrations of soy PAIs on quiescent C3H 10T1/2 cells treated with cycloheximide is presented. Quiescent cells are those which no longer respond to serum deprivation by entering apoptosis. Rather, apoptosis is stimulated in these cells by the addition of 10 μg/ml cycloheximide in C3H 10T1/2. Typically, these cells become confluent after about one week in culture and quiescent after about two weeks in culture. The results in FIG. 4 are expressed as viable cells remaining (ADH) after a given treatment. The data in FIG. 4 demonstrate that soy PAIs have a small, but significant anti-apoptotic effect on quiescent C3H 10T1/2 cells.

EXAMPLE 3 Apoptosis Assay with Neonatal Rat Cardiac Myocytes

Myocytes were prepared from hearts of day-old rats as described in Simpson Circulation Research 56: 884-894. In brief, the individual cells were obtained by brief, alternating cycles of room temperature trypsinization and mechanical disaggregation. The cells were collected, washed, and resuspended in MEM, 5% fetal bovine serum and 50 U/ml penicillin-G. To reduce contamination by non-myocytes, the cells were pre-plated for 30 minutes. The non-adherent cardiac myocytes were removed from the culture dish, counted on a hemocytometer, and resuspended in medium to a concentration of 600,000 viable cells/ml. The cell suspension was distributed into different culture dishes and incubated in a 37° C., 5% CO₂ incubator for 16-24 hours. The yield was 3-5×10⁶ cells/heart and viable cells were >90% by trypan blue staining.

On the first day of culture, the cells were rinsed with Minimal Eagle Medium (MEM) several times to remove debris and non-adherent cells. They were replenished with serum supplemented media as above. The myocytes were challenged with different conditions in RPMI 1640 medium the next day. The results obtained are presented in Table 2, where PAI 1×represents the material obtained from 0.1 g of soy flour starting material.

                  TABLE 2                                                          ______________________________________                                                      Neonatal Cardiomyocytes                                                        Beating Rate                                                                            Cell Number                                              ______________________________________                                         Serum-free     +          11606                                                Conditioned Media                                                                             +++++      5128                                                 PAI 1×   +++        15062                                                ______________________________________                                    

The results obtained indicate that the PAI fraction is capable of preserving the well-being of cells in the presence of an apoptosis-inducing insult.

EXAMPLE 4 Determination of Carbohydrate Composition of PAI

In order to determine whether PAIs contain carbohydrate, the L/G fraction of PAIs were exposed to various conditions and the resulting carbohydrate residues were assayed. The PAIs were obtained from Sigma Soy flour Lot No. 103H0820 treated to obtain PAIs as described in Example 1. The free monosaccharides in untreated PAIs were determined by HPLC on Dionex Carbopac™ PA1 in 16 mM NaOH according to the method described in Dionex Document No. 034441. The results obtained are presented in Table 3. The sample was then hydrolyzed with 2N TFA for four hours at 100° C. as described by Hardy and Townsend (1994) Meth. Enzymol. 230: 208-225. The results obtained are presented in Table 4. The sample was further hydrolyzed with 6N HCl for 6 hours at 100° C. as determined by the method described by Hardy and Townsend (1994). The results obtained are depicted in FIG. 5.

                  TABLE 3                                                          ______________________________________                                         Monosaccharides Detected in PAI                                                Monosaccharide ng/25 μg PAI                                                                            ng/mg PAI                                           ______________________________________                                         Arabinose      1.098       45.9                                                Glucose        0.058       2.36                                                TOTAL          1.157       48.26                                               ______________________________________                                    

                  TABLE 4                                                          ______________________________________                                         Monosaccharides Released on Hydrolysis                                         Monosaccharide ng/50 μg PAI                                                                            μg/mg PAI                                        ______________________________________                                         Fucose         1625        32.50                                               Arabinose      4605        92.10                                               Galactosamine  86          1.71                                                Glucosamine    478         9.56                                                Galactose      5280        105.60                                              Glucose        352         7.04                                                Xylose         520         10.40                                               TOTAL          12946       258.91                                              ______________________________________                                    

EXAMPLE 5 Chemical Cleavage of PAIs and Anti-Apoptotic Activity of Resulting PAI Constituents

Three separate samples of PAI obtained by the method described in Example 1 were treated as described in the protocols of three different kits produced by Oxford GlycoSystems, Inc., Cross Island Plaza, 133-33 Brookville Boulevard, Rosedale, N.Y. 11422.

One PAI sample was treated with the reagents of Oxford Glycosystems Glycofree™ Deglycosylation Kit as described by the manufacturer's instructions. This kit is based on a modification of the use of anhydrous trifluoromethane sulfonic acid (TFMS) to deglycosylate glycoproteins as described by Sojar and Bahl (1987) Meth. Enzymol. 138: 341-350. Specifically the sample was treated as follows. An aliquot of PAI was 1) lyophilized; 2) incubated with TFMS; 3) excess TFMS was neutralized; and 4) the sample was treated to recover deglycosylated PAIs. All steps were performed as described by or in accordance with the manufacturer's instructions.

A second PAI sample was treated with the reagents of Oxford Glycosystems N-Glycan Recovery Kit as described by the manufacturer's instructions. This kit is based on the use of anhydrous hydrazine to cleave N-Glycosidic bonds as reported by Takasaki et al. (1982). Specifically, the sample was treated as follows: 1) lyophilized; 2) treated with anhydrous hydrazine at 95° C. for 5 hours to cleave N-glycosidic bonds; 3) subjected to chromatography to remove unreacted hydrazine and peptide material; 4) treated with acetic anhydride to re-N-acetylate any de-N-acetylated amino groups; 5) a trace of Cu²⁺ ion was added to the sample to convert the acetohydrazone derivatives to unreduced oligosaccharides; 6) subjected to mixed-bed ion-exchange chromatography to remove Cu²⁺ ion and monoacetyl hydrazine; and 7) the unreduced N-glycans of PAI, substantially free of peptide material, were recovered in a dilute solution of acetic acid. All the steps were performed as described by or in accordance with the manufacturer's instructions.

A third PAI sample was treated with the reagents of the Oxford Glycosystems O-Glycan Recovery Kit as described by the manufacturer's instructions. Specifically the sample was treated as follows: 1) lyophilized; 2) treated with anhydrous hydrazine at 60° C. for 5 hours to cleave O-glycosidic bonds; 3) subjected to chromatography to remove unreacted hydrazine and peptide material; 4) treated with acetic anhydride to re-N-acetylate any de-N-acetylated amino groups; 5) a trace of Cu²⁺ ion was added to the sample to convert the acetohydrazone derivatives of the sample to unreduced oligosaccharides; 6) subjected to mixed-bed ion-exchange chromatography to remove Cu²⁺ ion and monoacetyl hydrazine; and 7) the unreduced O-glycans of PAI, substantially free of peptide material, were recovered in a dilute solution of acetic acid. All steps were performed as described by or in accordance with the manufacturer's instructions.

The anti-apoptotic activity of each of the three aforementioned samples was tested and the results are reported in Table 5.

                  TABLE 5                                                          ______________________________________                                         PAI Constituent                                                                              Anti-Apoptotic Activity                                          ______________________________________                                         Deglycosylated                                                                               None                                                             PAI Prothin                                                                    PAI-Derived   Yes                                                              N-Glycans                                                                      PAI-Derived   None                                                             O-Glycans                                                                      ______________________________________                                    

EXAMPLE 6 Use of PAIs to Prevent Chemotherapy Induced Gastrointestinal Disorders

In order to determine the in vivo activity of the PAIs, the following animal experiments were performed. In Examples 6 and 7 the animal tests were performed essentially as described in Funk and Baker (1991) J. Nutr. 221: 1684-1692; and Funk and Baker (1991) J. Nutr. 121: 1673-1683. Briefly, male Sprague-Dawley rats were used to determine if isolated AcE and L/G obtained from soy flour as described in Example 1 could alleviate methotrexate (MTX) toxicity. The rats were housed in individual, wire-bottom stainless steel cages and were adapted to their respective diets for 7 days prior to injection of MTX and remained on the same diets for 7 days after injection. Diets fed were semipurified rat food with the following additions:

1. casein

2. casein and soy concentrate (10 g and 10 g)

3. casein and soy flour (10 g and 10 g)

4. casein and AcE

5. casein and L/G

AcE and L/G were used at concentrations equal to that extracted from the soy starting material.

Records of rat weight and food intake were kept during the preinjection period. Rats were injected IP with 20 mg/kg MTX. During the 7 day postinjection period, rat weight, food intake and incidence of diarrhea were recorded. Rat weight and food intake data were analyzed using the nonparametric Kruskal-Wallis test and post-hoc comparison. The P value was adjusted for multiple comparisons by dividing 0.05 by the number of comparisons made (10). A nonparametric test was used because variances between groups were not homogeneous and thus assumptions for analysis of variances were not met. Food intake following MTX injection was expressed as a percentage of the average intake 3 days prior to injection for each animal. Thus, each animal served as its own control. Only days 3, 4, 5, and 6 post MTX injection were analyzed statistically. The reason for this is that days 3 and 4 are when toxicity is most severe and days 5 and 6 are when recovery begins. Diarrhea data were analyzed using both the Fisher's Exact Test and loglinear analysis.

Results showed that soy concentrate and soy flour starting material as well as both the AcE and L/G were capable of improving food intake following MTX injection (Table 6 and FIG. 7). On day 3 food intake for rats consuming soy flour and soy concentrate was statistically greater than for those consuming casein alone or casein with L/G. Rats consuming casein with AcE were intermediate in food intake on day 3 and statistically similar to all groups except those consuming soy flour. Day 4 showed an identical pattern except since food intake for rats consuming L/G rose slightly as compared with day 3, these rats were no longer statistically different from rats consuming soy concentrate although numerically food intake remained substantially lower. Recovery was evident on days 5 and 6 and food intake was statistically similar among all groups. Weight change (Table 7) reflected patterns observed in food intake which is expected. Rats consuming soy concentrate and soy flour gained a substantial amount of weight during the first 4 days following MTX injection. Rats consuming AcE, L/G or casein alone gained less weight and those consuming casein gained statistically less than those fed soy concentrate or soy flour. Differences in incidence of diarrhea were not statistically different but the pattern of diarrhea was consistent with food intake and weight change (Table 7). Rats consuming soy concentrate or soy flour had no diarrhea while a slight amount of diarrhea was present in rats consuming AcE (10%) and a moderate amount of diarrhea was present in those consuming L/G or casein alone (30-40%).

In conclusion, this experiment showed that soy concentrate and soy flour offered the best protection of the components tested. Casein with AcE appeared to be intermediate and superior to casein alone or L/G as evidenced by better maintenance of food intake and weight and lower incidence of diarrhea. This result indicates that compounds isolated from soy can provide protection against MTX toxicity. In this experiment, the L/G fraction at this concentration did not appear to provide protection. However, Example 8 shows that increased concentrations of L/G are effective.

                                      TABLE 6                                      __________________________________________________________________________     Effect of Diet and Methotrexate on Food Intake.sup.1                                           Pretreatment                                                                   Food Intake.sup.2                                                                     Food Intake Posttreatment (%).sup.3                     Diet            (g/day)                                                                               day 3  day 4  day 5  day 6                              __________________________________________________________________________     Casein          18.4 ± 0.6                                                                         34.1 ± 11.0.sup.a                                                                  39.6 ± 13.0.sup.a                                                                  83.0 ± 12.5                                                                        108.9 ± 2.7                     Soy Concentrate-Casein (50/50)                                                                 18.4 ± 0.5                                                                         94.3 ± 6.5.sup.bc                                                                  94.8 ± 5.1.sup.bc                                                                  98.9 ± 2.5                                                                         101.8 ± 3.3                     Soy Flour-Casein (50/50)                                                                       17.8 ± 0.4                                                                         99.0 ± 4.6.sup.c                                                                   99.1 ± 2.0.sup.c                                                                   98.2 ± 2.3                                                                         102.1 ± 3.5                     Casein-AcE      18.5 ± 0.4                                                                         63.6 ± 9.3.sup.ab                                                                  68.3 ± 10.3.sup.ab                                                                 88.6 ± 6.9                                                                          99.5 ± 4.0                     Casein-L/G      19.0 ± 0.8                                                                         46.3 ± 11.7.sup.a                                                                  53.9 ± 14.2.sup.ab                                                                 75.3 ± 13.1                                                                         96.4 ± 11.0                    __________________________________________________________________________      .sup.1 Values are means ± standard error of the mean for ten male rats      Methotrexate was injected IP following a 7day adaptation period. Values i      columns with unlike superscripts differ (P ≦ 0.05, KruskalWallis        test and post hoc comparison).                                                 .sup.2 Pretreatment food intake represents the mean of the 3 day period        prior to the administration of MTX.                                            .sup.3 Posttreatment intake represents the % of pretreatment intake.     

                                      TABLE 7                                      __________________________________________________________________________     Effect of Diet and Methotrexate on Rat Weight.sup.1                                            Average Pretreatment                                                                      Weight Change Incidence of                                          Weight.sup.2                                                                              day 0-4                                                                               day 4-6 Diarrhea                             Diet            (g)        (g)    (g)     (%)                                  __________________________________________________________________________     Casein          230.0 ± 4.7                                                                             1.2 ± 5.3.sup.a                                                                   16.3 ± 1.5                                                                         30                                    Soy Concentrate-Casein (50/50)                                                                 227.2 ± 4.7                                                                            22.1 ± 1.5.sup.b                                                                    9.7 ± 1.6                                                                         0                                     Soy Flour-Casein (50/50)                                                                       227.2 ± 4.4                                                                            22.7 ± 1.6.sup.b                                                                   10.1 ± 1.0                                                                         0                                     Casein-AcE      230.3 ± 3.2                                                                            11.7 ±  4.1.sup.ab                                                                 13.5 ± 2.1                                                                         10                                    Casein-L/G      232.9 ± 5.1                                                                             6.9 ± 5.6.sup.ab                                                                   9.8 ± 4.5                                                                         40                                    __________________________________________________________________________      .sup.1 Values are means ± standard error of the mean for ten male rats      Methotrexate was injected IP following a 7day adaptation period. Values i      columns with unlike superscripts differ (P ≦ 0.05, KruskalWallis        test and post hoc comparison).                                                 .sup.2 Pretreatment weight indicates the average weight on the day of          injection.                                                               

EXAMPLE 7 Use of PAIs to Prevent Chemotherapy Induced Gastrointestinal Disorders

Male Sprague-Dawley rats were used to determine if graded levels of isolated soy fractions (AcE, L/G and MAcE) could alleviate methotrexate (MTX) toxicity. Animals were housed in individual, wire-bottom stainless steel cages. Rats were adapted to their respective diets for 7 days prior to injection of MTX and remained on the same diets for 7 days after injection. Diets fed were semipurified and casein with additions as follows:

1. No additions

2. AcE (100 mg/20 g casein; 1X)

3. AcE (300 mg/20 g casein; 3X)

4. AcE (1000 mg/20 g casein; 10X)

5. L/G (10 mg/20 g casein; 1X)

6. L/G (30 mg/20 g casein; 3X)

7. L/G (100 mg/20 g casein; 10X)

8. MAcE (100 mg/20 g casein; 1X)

9. MAcE (300 mg/20 g casein; 3X)

10. MAcE (1000 mg/20 g casein; 10X)

11. MAcE (3000 mg/20 g casein; 30X)

Note that MAcE is soy molasses extracted as for soy flour to obtain AcE. Each diet group contained 8 rats except for the group receiving casein with no added compound which contained 10 rats. Records of rat weight and food intake were kept during the preinjection period. Rats were injected IP with 20 mg/kg MTX. During the 7 day postinjection period, rat weight, food intake and incidence of diarrhea were recorded. Food intake for various groups is depicted in FIGS. 8-10. Incidence of diarrhea is depicted in FIG. 11. Rat food intake for the entire group is depicted in FIG. 12. Rat weight and food intake data were analyzed by ANOVA using a factorial arrangement of treatments to test the main effects of compound and dose and the possible interaction between compound and dose. Factorial analysis was done using only the treatment groups with the 1X, 3X and 10X doses of each of the compounds. In addition t-tests were used to determine differences between the 10X level of each compound and the diet containing only casein. Food intake following MTX injection was expressed as a percentage of the average intake 3 days prior to injection for each animal. Thus, each animal served as its own control. Only days 3, 4, 5 and 6 post MTX injection were analyzed statistically. The reason for this is that days 3 and 4 are when toxicity is most severe and days 5 and 6 are when recovery begins. Diarrhea data were analyzed using Fisher's Exact Test. Only the 10X levels for each of the compounds were analyzed statistically against casein for differences in diarrhea incidence. FIG. 12. The reason for this is that Fisher's test is a conservative test. When multiple comparisons are done the error rate must be adjusted. So in order to increase the chances of statistical significance, only those comparisons were done where the best response for each of the compounds had been realized as evidenced by food intake and weight change data.

Results of the factorial analysis of food intake and weight change are presented in Tables 8 and 9. The results showed that the AcE compound was the most effective at alleviating MTX toxicity. Food intake was greater for all AcE groups combined than for both of the other groups on day 3 following MTX dosing and remained greater than those consuming MAcE on day 4 (P<0.05). Decreased toxicity in rats consuming AcE as compared with MAcE was also reflected in weight patterns as those consuming AcE gained more weight during the first four days postdosing than those consuming MAcE (P<0.05). Improvements in intake and maintenance of weight were seen with increasing levels of each of the compounds with the exception of the 30X level of MAcE, although this was not statistically significant. The level of each compound where response was the best was 10X. In comparing the 10X level of each of the compounds against casein alone, AcE was statistically greater on days 3, 4 and 5 postdosing (P<0.05). The pattern of diarrhea was consistent with the food intake results. Fifty percent of the animals consuming casein developed diarrhea. No animals consuming the 10X level of the compounds developed diarrhea which was statistically less than those consuming casein alone (P=0.088). All other groups experienced some diarrhea with the exception of those consuming the 3X level of AcE.

In conclusion, for the compounds tested, AcE was the best at alleviating MTX toxicity. L/G and MAcE positively affected MTX toxicity as evidenced by decreased incidence of diarrhea as compared with casein alone and statistically nonsignificant improvement in food intake and weight maintenance. It is possible that higher levels of AcE and L/G may provide additional protection. The 30X level of MAcE proved to be ineffective and closely resembled casein alone. Therefore, it appears that once a threshold is reached higher levels are detrimental. It is possible that MAcE may be more effective at a dose somewhere between the 10X and 30X levels tested in this experiment.

                                      TABLE 8                                      __________________________________________________________________________     Effect of Diet and Methotrexate on Food Intake.sup.1                           Pretreatment                                                                   Food Intake Food Intake Posttreatment (%)                                      Diet                                                                              n (g/day)                                                                               day 3.sup.2,3                                                                         day 4.sup.3,4                                                                         day 5.sup.3                                                                           day 6                                         __________________________________________________________________________     1. 10                                                                               18.5 ± 0.5                                                                         39.5 ± 11.5                                                                        33.5 ± 11.7                                                                        58.9 ± 12.4                                                                         96.3 ± 5.9                                2. 8 19.7 ± 0.6                                                                         57.6 ± 12.8                                                                        52.7 ± 16.6                                                                        71.5 ± 11.2                                                                         93.0 ± 4.8                                3. 8 16.2 ± 0.4                                                                         61.4 ± 7.0                                                                         71.3 ± 11.3                                                                        92.6 ± 6.0                                                                         105.6 ± 4.7                                4. 8 16.7 ± 0.4                                                                         78.2 ± 9.2                                                                         76.7 ± 11.0                                                                        90.3 ± 6.7                                                                          97.8 ± 4.3                                5. 8 17.9 ± 0 4                                                                         40.0 ± 8.4                                                                         45.9 ± 11.4                                                                        80.3 ± 11.4                                                                        105.7 ± 3.6                                6. 8 18.3 ± 0.7                                                                         46.0 ± 9.8                                                                         50.7 ± 12.8                                                                        79.6 ± 12.0                                                                        105.2 ± 5.3                                7. 8 17.3 ± 0.6                                                                         60.8 ± 9.9                                                                         61.9 ± 12.8                                                                        79.2 ± 11.8                                                                        103.3 ± 3.9                                8. 8 18.5 ± 0.7                                                                         40.8 ± 10.2                                                                        34.5 ± 9.4                                                                         59.1 ± 9.8                                                                         100.2 ± 4.8                                9. 8 17.2 ± 0.5                                                                         38.0 ± 8.4                                                                         45.4 ± 10.6                                                                        82.2 ± 11.7                                                                        100.4 ± 6.4                                10.                                                                               8 16.9 ± 0.4                                                                         50.4 ± 5.8                                                                         52.2 ± 9.4                                                                         70.4 ± 13.9                                                                         89.3 ± 12.0                                  8 16.4 ± 0.4                                                                         30.0 ± 6.0                                                                         33.9 ± 9.8                                                                         58.1 ± 9.1                                                                         110.4 ± 4.0                                __________________________________________________________________________      Footnotes:                                                                     .sup.1 Values are means ± standard error of the mean for male rats.         Methotrexate was injected IP following a 7day adaptation period.               Pretreatment food intake represents the mean of the 3day period prior to       the administration of methotrexate. Posttreatment intake represents the %      of pretreatment intake.                                                        .sup.2 The caseinAcE groups (2-4) maintained a better posttreatment intak      than caseinL/G (5-6) and caseinMAcE (8/11) groups (P < 0.05, ANOVA and         Student NewmansKeuls tests following factorial analysis).                      .sup.3 CaseinAcE (10×) (3) animals had a greater posttreatment           intake than casein (P < 0.05), ttest).                                         .sup.4 The caseinAcE groups maintained a better posttreatment intake than      the caseinMAcE groups (P < 0.05, ANOVA and Student NewmansKeuls tests          following factorial analysis).                                           

                  TABLE 9                                                          ______________________________________                                         Effect of Diet and Methotrexate on Rat Weight and Diarrhea.sup.1               Average                                                                        Pretreatment  Weight Change   Incidence of                                                Weight     day 0-4.sup.2                                                                          day 4-6 Diarrhea.sup.3                           Diet n     (g)        (g)     (g)     (%)                                      ______________________________________                                         1.   10    220.2 ± 5.5                                                                            -2.1 ± 1.8                                                                          13.2 ± 1.8                                                                          50                                       2.   8     233.5 ± 4.2                                                                            8.3 ± 5.6                                                                           11.1 ± 0.7                                                                          25                                       3.   8     224.7 ± 3.6                                                                            9.0 ± 3.0                                                                           10.8 ± 2.0                                                                          0                                        4.   8     227.3 ± 3.8                                                                            12.4 ± 5.4                                                                          10.6 ± 1.5                                                                          0                                        5.   8     232.6 ± 2.7                                                                            2.5 ± 3.6                                                                           14.3 ± 1.9                                                                          12.5                                     6.   8     225.5 ± 3.3                                                                            3.8 ± 3.9                                                                           12.2 ± 1.8                                                                          12.5                                     7.   8     232.6 ± 4.5                                                                            6.3 ± 5.0                                                                           11.3 ± 1.2                                                                          0                                        8.   8     234.1 ± 6.3                                                                            0.0 ± 2.3                                                                           13.5 ± 2.4                                                                          12.5                                     9.   8     226.1 ± 3.2                                                                            1.5 ± 4.9                                                                           11.6 ± 1.7                                                                          25                                       10.  8     235.2 ± 2.3                                                                            3.1 ± 3.2                                                                           7.9 ± 3.8                                                                           0                                        11.  8     220.6 ± 2.8                                                                            -2.3 ± 3.4                                                                          140.0 ± 1.2                                                                         25                                       ______________________________________                                          Footnotes:                                                                     .sup.1 Values are means ± standard error of the mean for male rats.         Methotrexate was injected IP following a 7day adaptation period.               Pretreatment weight indicates the average weight on the day of injection.      .sup.2 The caseinAcE groups (2-4) maintained overall weight better during      acute toxicity than the caseinMAcE groups (8-11) (P < 0.05, ANOVA and          Student NewmansKeuls tests following factorial analysis). CaseinAcE            (10×) (4) animals showed significantly less weight loss than casein      (P < 0.05), ttest.                                                             .sup.3 Animals consuming the 10× level of the compounds (4, 7, 10)       had a significantly lower incidence of diarrhea than animals consuming         casein (P < 0.088, Fisher's exact test for diarrhea).                    

EXAMPLE 8 Use of PAIs to Inhibit Apoptosis in Lymphocytes Obtained from an HIV-infected Patient

The L/G fraction of PAIs isolated from soy flour was tested for its ability to inhibit apoptosis in lymphocytes from an HIV-infected patient.

Peripheral blood monocytes (PBMCs) were obtained from the patient and isolated according to standard methods. The PBMCs were cultured at 2×10⁶ /well in 24-well plates (Costar--Cambridge, Mass.) for 72 hours at 37° C. and 5% CO₂ containing 2 ml/well of RPMI with antibiotics and 10% hAB. Some cultures contained 10 μg/ml Pokeweed Mitogen (PWM) (Sigma, St. Louis, Mo.). Suspensions of thymocytes were used immediately after removal or after culture in RPMI+10% fetal bovine serum with 5 μM dexamethasone (DEX) (Sigma--St. Louis, Mo.) for 18 hours. The cells were exposed for three days to the L/G fractions at the concentrations indicated below where 0.5 gEQ is the fraction derived from 0.5 g starting weight of flour.

    ______________________________________                                         Lane # PWM      L/G                                                            ______________________________________                                         1      -        None                                                           2      -        Purified L/G - 0.5 gEQ/ml                                      3      -        Purified L/G - 0.05 gEQ/ml                                     4      -        Purified L/G - 0.005 gEQ/ml                                    5      +        None                                                           6      +        Purified L/G - 0.5 gEQ/ml                                      7      +        Purified L/G - 0.05 gEQ/ml                                     8      +        Purified L/G - 0.005 gEQ/ml                                    9      -        Untreated mouse thymocytes (negative                                           control)                                                       10     -        Dexamethasone-treated mouse thymocytes                                         (positive control)                                             11     -        123 bp DNA standards                                           ______________________________________                                    

DNA was extracted and gel electrophoresis was performed as described by Sambrook et al. Molecular Cloning--Laboratory Manuals, 2nd Ed. Cold Spring Harbor Laboratory Press, N.Y. pp. 134-135, E3-E4 and E10-11. Briefly, cells harvested were pelleted by centrifugation and lysed in 400 μl of 50 mM KCl, 10 mM Tris-HCl (pH 8), 1% NP-40, 1% Tween-20, and 0.5 mg/ml Proteinase K (Boehringer Mannheim, Indianapolis, Ind.) at 60° C. for 1 hour. After extraction with phenol-chloroform and recovery with ethanol, the DNA was run through a 1.5% agarose gel (SeaKem, Rockland, Me.) in 90 mM Tris-Borate, 2.5 mM EDTA, pH 8.3 at 30 to 50 V for approximately 4 hours. A 123 base pair ladder (GIBCO BRL, Gaithersburg, Md.) was used as the DNA standard (DS) markers. Gels were stained with 1 μg/ml ethidium bromide (Molecular Probes, Eugene, Oreg.) and destained in distilled H₂ O.

The results are shown in FIG. 13 where the lanes are as indicated above.

The results obtained indicate that significant DNA fragmentation was observed in the absence of PWM-stimulation (lane 1) and this fragmentation was almost completely inhibited in cultures that contained 0.5 gEQ of L/G (lane 2). Lower concentrations of L/G (0.05 gEQ and 0.005 gEQ) did not inhibit DNA fragmentation in the absence of PWM (lanes 3 and 4) or in the presence of PWM (lanes 7 and 8). The DNA fragmentation in the presence of PWM (lane 5) was increased in comparison to cultures without PWM (lane 1). A slight inhibition of DNA fragmentation in the presence of PWM was observed in the presence of 0.5 gEQ L/G (lane 6) in comparison to lane 5. Negative and positive controls (lanes 10 and 11) worked as expected.

Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity of understanding, it will be apparent to those skilled in the art that certain changes and modifications may be practiced. Therefore, the descriptions and examples should not be construed as limiting the scope of the invention, which is delineated by the appended claims. 

We claim:
 1. A method of treatment of apoptosis, comprising administering a therapeutically effective amount of a pharmaceutically acceptable composition comprising the composition comprising a factor with anti-apoptotic activity wherein the method comprises the steps of:a) delipidating a plant powder with a delipidating agent; b) separating the powder from the delipidating agent; c) extracting the delipidated powder with an aqueous solution; d) separating the aqueous solution from the delipidated powder to obtain an aqueous retentate; and e) isolating a lipid/glycolipid/phospholipid fraction containing the factor wherein the composition is administered to a patient in need of such treatment.
 2. The method according to claim 1 wherein the patient is suffering from a gastrointestinal perturbation.
 3. The method according to claim 2 wherein the gastrointestinal perturbation is caused by a stimulus selected from the group consisting of human immunodeficiency virus, chemotherapeutic agents and radiation.
 4. The method according to claim 2 wherein the treatment decreases immunodeficiencies associated with immunosuppressing viruses, chemotherapeutic agents, or radiation.
 5. The method according to claim 4 wherein the virus is human immunodeficiency virus.
 6. The method according to claim 5 wherein the treatment diminishes human immunodeficiency virus-associated apoptotic death of T cells.
 7. The method according to claim 1 wherein the patient is undergoing apoptosis related to reperfusion.
 8. The method according to claim 7 wherein the reperfusion is associated with coronary artery obstruction; cerebral infarction; spinal/head trauma and concomitant severe paralysis; and frostbite. 